| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,351.07 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,863.17 | $5,711.71 | $7,656.39 | |
Health Alliance Plan
| Facility | $1,093.65 | $4,933.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |